$TXT Created by BOWEN,MARY JANE at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Monday, 09/20/10 at 11:57 ============================================================================= Run Date: NOV 17, 2010 Designation: ICD*18*50 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #48 Status: Released Compliance Date: NOV 24, 2010 ============================================================================= Associated patches: (v)ICD*18*45 <<= must be installed BEFORE `ICD*18*50' (v)LEX*2*72 <<= must be installed BEFORE `ICD*18*50' Subject: ANNUAL DRG GROUPER UPDATE FY11 Category: - Routine - Other - Enhancement (Mandatory) Description: ============ This patch provides the annual update to the Medicare Severity Diagnosis Related Group (MS-DRG) Grouper v28.0. It is the second phase of the FY 2011 ICD/DRG Update and is the follow up to patch LEX*2.0*72. No code files are included in the patch, as all changes are handled programmatically by the pre-init routines ICD1850*. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ PLEASE NOTE: It is HIGHLY recommended that you install LEX*2*72 prior to installing this patch. Otherwise, you'll not be able to add the FY11 DRG changes for the new diagnosis and procedure codes introduced with that patch without reloading the DRGs. Also, please take note of the shortened compliance date. The changes included in this patch were effective as of 10/1/10 per the Federal Register Vol. 75, No. 157, dated August 16, 2010. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ASSOCIATED REMEDY TICKETS: ========================== 1) HD0000000421289 - ANNUAL DRG GROUPER UPDATE FY11 ASSOCIATED NSRs: ================= N/A PARTICIPATING TEST SITES: ======================== Bay Pines, FL Montana HCS Upstate New York HCS REMEDY OVERVIEW: =============== 1) HD0000000421289 - ANNUAL DRG GROUPER UPDATE FY11 The changes were published in the Federal Register, Vol. 75, No. 157, dated August 16, 2010 with an effective date of October 1, 2010. Resource documents can be found at http://www.cms.hhs.gov/ All page references below are to this issue. Changes include: I. New/inactivated/revised DRGs. II. Revised DRG relative weights & average length of stay (ALOS) values for all DRGs. III. Additional DRG-related data for the new ICD codes introduced by LEX*2.0*72. IV. DRG Reclassification changes to the Grouper. This is a summary of the additions/changes made: I. Routine ICD1850A was written to update the DRG file (#80.2): NEW DRGs for FY 2011 ---------------------- DRG 014 Allogeneic Bone Marrow Transplant DRG 015 Autologous Bone Marrow Transplant INACTIVATED DRGs for FY 2011 ---------------------------- DRG 009 Bone Marrow Transplant REVISED DRG descriptions (titles) for FY 2010 --------------------------------------------- NO REVISED DRG DESCRIPTIONS FOR FY10 II. Routine ICD1850A will also be used to update the finalized values for DRG relative weights and average length of stay (ALOS). III. Additional DRG-related values were taken from these Tables: Table 6A for 129 new diagnoses Table 6B for 22 new procedures Routine ICD1850B incorporated these values in the following fields in ICD DIAGNOSIS file (#80): IDENTIFIER (#2) as needed MAJOR DIAGNOSTIC CATEGORY (#5) DRG GROUPER EFFECTIVE DATE (#71) and its sub-file MDC EFFECTIVE DATE (#72) Routine ICD1850C incorporated these values in the following fields in ICD OPERATION/PROCEDURE file (#80.1): IDENTIFIER (#2) as needed DRG GROUPER EFFECTIVE DATE (#71) and its sub-files Routines ICDDRG0 and ICDTBL0C-9C were added/modified to complete the proper grouping of these new diagnoses and procedures. IV. DRG RECLASSIFICATION. Changes to other DRGs: -------------------- 1. PRE MDC (p.50101) a. Effective 10/1/2010 New DRGs 014 and 015 will replace DRG 009, which will be inactivated. DRG014- Procedure codes 41.02, 41.03, 41.05, 41.06 or 41.08 will be assigned to this DRG. DRG015- Procedure codes 41.00, 41.01, 41.04, 41.07 or 41.09 will be assigned to this DRG. Routine changed: ICD1850D will change DRGs for the procedure codes for FY11. 2. Surgical Hierarchies (P. 50114) a. Ranking of surgical DRGs has changed as follows: PRE MDC - DRG014 above DRG007 - DRG015 above DRG010 MDC10 - DRG614 and DRG615 above DRG625 Routine changed: ICDDRG1, ICDDRG10 INSTALLATION INSTRUCTIONS: ========================= NOTE: Please do not forget to do step 6. This is a very important step as it updates/recalculates the transfer DRGs for Patient Treatment File (PTF) records opened during the current fiscal year. This patch can be loaded with users on the system. However, it would be preferable if Medical Records coders were off the system. Install Time - 5 to 10 minutes. This patch does not involve global file restoration. Nonetheless, we suggest you create global saves on files #80 (^ICD9), #80.1 (^ICD0) and #80.2 (^ICD) in the event problems develop during the install. If it became necessary to use the saved files, you should first kill all the records (except the zero node) before applying the global restores. 1. From the Kernel Installation and Distribution System Menu, select the Installation menu. 2. From this menu, you may elect to use the following options: (when prompted for INSTALL NAME, enter ICD*18.0*50) a. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. b. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the transport global. d. Print Transport Global - this option will allow you to view the components of the KIDS build. 3. Use the Install Package(s) option and select the package ICD*18.0*50. 4. When prompted, 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO 5. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond YES. When prompted,'Enter options you wish to mark as 'Out Of Order':', enter: PTF Menu [DG PTF MENU] When prompted,'Enter protocols you wish to mark as 'Out Of Order':', press enter. 6. Following installation of this patch, it is necessary to run the Update Transfer DRGs for Current FY [DG PTF UPDATE TRANSFER DRGs] option in order to make the transfer DRGs correspond to the appropriate grouper. This option updates/recalculates the transfer DRGs for PTF records opened during the current fiscal year. The option is locked with the DG PTFSUP security key. The Menu path is PTF Menu/Update DRG Information Menu/Update Transfer DRGs for current FY. 7. All routines ICD1850* can be deleted after the patch has been successfully installed. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 13, 2000;Build 8 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1850A Before: n/a After: B66931787 **50** Routine Name: ICD1850B Before: n/a After: B26359807 **50** Routine Name: ICD1850C Before: n/a After: B12005773 **50** Routine Name: ICD1850D Before: n/a After: B7424154 **50** Routine Name: ICD1850E Before: n/a After: B5850291 **50** Routine Name: ICD1850F Before: n/a After: B61387904 **50** Routine Name: ICD1850G Before: n/a After: B61309437 **50** Routine Name: ICD1850H Before: n/a After: B63003398 **50** Routine Name: ICD1850I Before: n/a After: B60771689 **50** Routine Name: ICD1850J Before: n/a After: B63907785 **50** Routine Name: ICD1850K Before: n/a After: B67046463 **50** Routine Name: ICD1850O Before: n/a After: B2560373 **50** Routine Name: ICD1850P Before: n/a After: B421444 **50** Routine Name: ICDDRG0 Before: B60779203 After: B61230090 **1,2,7,10,14,17,20,24,27,30, 31,32,33,37,45,50** Routine Name: ICDDRG1 Before: B9814908 After: B12785919 **10,17,24,31,50** Routine Name: ICDDRG10 Before: B1256980 After: B1924617 **24,31,50** Routine Name: ICDDRGXM Before: B10395958 After: B10810981 **31,50** Routine Name: ICDTBL0C Before: n/a After: B18886826 **50** Routine Name: ICDTBL1C Before: n/a After: B6090912 **50** Routine Name: ICDTBL2C Before: n/a After: B47636923 **50** Routine Name: ICDTBL3C Before: n/a After: B7615499 **50** Routine Name: ICDTBL4C Before: n/a After: B24629654 **50** Routine Name: ICDTBL5C Before: n/a After: B6476047 **50** Routine Name: ICDTBL6C Before: n/a After: B9188588 **50** Routine Name: ICDTBL7C Before: n/a After: B14033279 **50** Routine Name: ICDTBL8C Before: n/a After: B18743978 **50** Routine Name: ICDTBL9C Before: n/a After: B4358425 **50** Routine list of preceding patches: 45 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : AUG 10, 2010 Completed By: LEANORD,TATIANA Date Completed: NOV 17, 2010 Released By : HOLMES,MARY Date Released : NOV 17, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT